Individual provider Active NPI

Jezwah E Harris, FNP-BC, MEP-C, NE-BC

  • Nurse Practitioner
  • Aventura, FL
National Provider Identifier
1609502657
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11035589 Issued in FL
Practice address
16215 Biscayne Blvd Ste 131
Aventura, FL 33160-4300
Phone
(786) 744-5152
Fax
(833) 973-5949
NPI assigned
Jul 30, 2022
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 355285 NY
Nurse Practitioner 363L00000X 314884 AZ
Nurse Practitioner 363L00000X 95031847 CA
Nurse Practitioner 363L00000X APRN11035589 FL Primary
Dermatology Physician 207N00000X 11035589 FL
Internal Medicine Physician 207R00000X 11035589 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 11035589 FL

Addresses

Primary practice location

16215 Biscayne Blvd Ste 131
Aventura, FL 33160-4300

Mailing address

12555 Biscayne Blvd
PMB 1037
North Miami, FL 33181
Phone (323) 229-2070

Other practice location 1

1831 E 71st St
Tulsa, OK 74136-3928
Phone (786) 744-5152

Other practice location 2

101 S Reid St Ste 307
Sioux Falls, SD 57103-7045
Phone (786) 744-5152

Other practice location 3

3523 45th St S Ste 1600
Fargo, ND 58104-8962
Phone (786) 744-5152

Other practice location 4

10 Dorrance St Ste 700
Providence, RI 02903-2014
Phone (786) 744-5152

Other practice location 5

100 E Campus View Blvd Ste 250
Columbus, OH 43235-4682
Phone (786) 744-5152

Other practice location 6

72650 Fred Waring Dr Ste 106
Palm Desert, CA 92260-5007
Phone (424) 433-3351

Other practice location 7

200 Continental Dr Ste 1600
Newark, DE 19713-4334
Phone (302) 366-4886

Other practice location 8

768 Putney Rd Ste U1-1054
Brattleboro, VT 05301-9005
Phone (802) 275-0888

Other practice location 9

1706 N 1200 W Ste 1008
Layton, UT 84041-5716
Phone (385) 342-4202

Other practice location 10

1846 1st St Ste 1029
Idaho Falls, ID 83401-4415
Phone (208) 886-6586

Other practice location 11

312 W 2nd St Ste 3592
Casper, WY 82601-2412
Phone (520) 244-1442

Other practice location 12

2300 W Sahara Ave Ste 202
Las Vegas, NV 89102-4352
Phone (725) 302-0103

Other practice location 13

1240 Winnowing Way Unit 102
MT Pleasant, SC 29466-7531
Phone (786) 744-5152

Other practice location 14

23440 Civic Center Way Ste 100
Malibu, CA 90265-4855
Phone (424) 433-3351

Other practice location 15

1455 NW Leary Way Ste 400
Seattle, WA 98107-5138
Phone (425) 740-7626

Other practice location 16

17 G W Tatro Dr
Jeffersonville, VT 05464-9919
Phone (802) 275-0888

Other practice location 17

1600 Broadway Ste 1600
Denver, CO 80202-4916
Phone (720) 780-7977

Other practice location 18

317 6th Ave Ste 400
Des Moines, IA 50309-4108
Phone (515) 501-5355

Other practice location 19

333 N Alabama St Ste 350
Indianapolis, IN 46204-2275
Phone (786) 744-5152

Other practice location 20

175 Capital Blvd Fl 4
Rocky Hill, CT 06067-3914
Phone (786) 744-5152

Other practice location 21

3372 Peachtree Rd NE Ste 115
Atlanta, GA 30326-1963
Phone (786) 744-5152

Other practice location 22

3597 E Monarch Sky Ln Ste 240
Meridian, ID 83646-1055
Phone (208) 886-6586

Other practice location 23

100 Chesterfield Business Pkwy Fl 2
Chesterfield, MO 63005-1271
Phone (786) 744-5152

Other practice location 24

6000 Poplar Ave Ste 250
Memphis, TN 38119-3974
Phone (786) 744-5152

Other practice location 25

1627 Quarrier St
Charleston, WV 25311-2124
Phone (786) 744-5152

Other practice location 26

180 N University Ave Ste 270
Provo, UT 84601-5648
Phone (385) 342-4202

Other practice location 27

11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Phone (786) 744-5152

Other practice location 28

17 G W Tatro Dr
Jeffersonville, VT 05464-9919
Phone (802) 275-0888

Other practice location 29

342 N Water St Ste 600
Milwaukee, WI 53202-5715
Phone (786) 744-5152

Other practice location 30

801 W Douglas Ave Fl 2
Wichita, KS 67213-4704
Phone (785) 727-7927

Other practice location 31

35 Village Rd Ste 100
Middleton, MA 01949-1238
Phone (339) 933-7553

Other practice location 32

11295 Biscayne Blvd Unit Ph7
Miami, FL 33181-3481
Phone (786) 744-5152

Other practice location 33

5401 Norris Canyon Rd Ste 312
San Ramon, CA 94583-5408
Phone (424) 433-3351

Other practice location 34

3707 E Southern Ave Fl 1
Mesa, AZ 85206-2569
Phone (520) 244-1442

Other practice location 35

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Phone (361) 792-3301

Other practice location 36

5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Phone (786) 744-5152

Other practice location 37

1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (786) 744-5152

Other practice location 38

170 Commerce Way Ste 200
Portsmouth, NH 03801-3272
Phone (786) 744-5152

Other practice location 39

101 Hudson St Fl 21
Jersey City, NJ 07302-3929
Phone (786) 744-5152

Other practice location 40

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Phone (505) 630-2005

Other practice location 41

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (786) 744-5152

Other practice location 42

1312 17th St Ste 865
Denver, CO 80202-1508
Phone (720) 780-7977

Other practice location 43

1106 W Ash St Ste 1011
Junction City, KS 66441-3600
Phone (785) 727-7927

Other practice location 44

2215 N 23rd St Ste 1028
McAllen, TX 78501-6128
Phone (361) 792-3301

Other practice location 45

1 Chestnut Hill Plz Ste 130
Newark, DE 19713-2761
Phone (302) 366-4886

Other practice location 46

6417 Penn Ave S Ste 7-397
Minneapolis, MN 55423-1186
Phone (952) 900-8661

Other practice location 47

731 SE Alices Rd Ste 2031
Waukee, IA 50263-9646
Phone (731) 203-1502

Other practice location 48

1 Westbrook Corporate Ctr Ste 300
Westchester, IL 60154-5709
Phone (872) 282-9262

Other practice location 49

801 E Douglas Ave Fl 2
Wichita, KS 67202-3548
Phone (785) 727-7927

Other practice location 50

312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone (786) 744-5152

Other practice location 51

650 Poydras St Ste 1400
New Orleans, LA 70130-6116
Phone (786) 744-5152

Other practice location 52

128 State St
Augusta, ME 04330-5630
Phone (786) 744-5152

Other practice location 53

16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (786) 744-5152

Other practice location 54

30 N Gould St Ste 37558
Sheridan, WY 82801-6317
Phone (307) 316-1115

Other practice location 55

2100 Southbridge Pkwy Ste 650
Birmingham, AL 35209-1317
Phone (786) 744-5152

Other practice location 56

9360 Glacier Hwy Ste 202
Juneau, AK 99801-7012
Phone (786) 744-5152

Other practice location 57

400 W Capitol Ave
Little Rock, AR 72201-3436
Phone (786) 744-5152

Other practice location 58

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079
Phone (786) 744-5152

Other practice location 59

2196 3rd Ave Ste 2029
New York, NY 10035-0780
Phone (332) 895-3777

Other practice location 60

248 Providence Hwy Ste 3042
Westwood, MA 02090-1908
Phone (339) 933-7553

Other practice location 61

1440 W Taylor St Ste 775
Chicago, IL 60607-4623
Phone (872) 282-9262

Other practice location 62

300 Lenora St Ste 6464
Seattle, WA 98121-2411
Phone (425) 740-7626

Other practice location 63

512 W Goldfield Ave Ste 1046
Yerington, NV 89447-3317
Phone (725) 302-0103

Other practice location 64

6700 E Speedway Blvd Ste 1014
Tucson, AZ 85710-1220
Phone (520) 244-1442

Other practice location 65

121 S La Brea Ave Suite 1027
Inglewood, CA 90301
Phone (424) 433-3351

Other practice location 66

18 Campus Blvd Ste 100
Newtown Square, PA 19073-3240
Phone (786) 744-5152

Other identifiers 10

IdentifierTypeStateIssuer
9000260404MedicaidCO
ZJTEQOtherFLBCBS FLORIDA BLUE
100598895MedicaidCA
127551600MedicaidID
219931MedicaidAZ
6725466MedicaidVT
30005379330001MedicaidKS
08375519MedicaidNY
125974100MedicaidFL
246725900MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WY, NY, CA, AZ, WA, CO, IL, NM9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20250218000979 FL Practitioner - Nurse Practitioner 6103346432 Reassigns benefits to 2 organizations
I20260608003798 WY Practitioner - Nurse Practitioner 6103346432 Reassigns benefits to 1 organization
I20260609000245 NY Practitioner - Nurse Practitioner 6103346432 Reassigns benefits to 1 organization
I20260615003021 CA Practitioner - Nurse Practitioner 6103346432 Reassigns benefits to 1 organization
I20260615003085 AZ Practitioner - Nurse Practitioner 6103346432 Reassigns benefits to 1 organization
I20260616000258 WA Practitioner - Nurse Practitioner 6103346432 Reassigns benefits to 1 organization
I20260624003290 CO Practitioner - Nurse Practitioner 6103346432 Reassigns benefits to 1 organization
I20260625003394 IL Practitioner - Nurse Practitioner 6103346432 Reassigns benefits to 1 organization
I20260627000219 NM Practitioner - Nurse Practitioner 6103346432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Je Harris NursingGroup PAC ID 4385164615, 2 clinicians

Practice addresses (Care Compare)

16215 Biscayne Blvd
Suite 131
Aventura, FL 33160-4300
Phone (786) 744-5152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
314884AZMDNurse Practitioner
95031847CAMDNurse Practitioner
APRN11035589FLMDNurse Practitioner
355285NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Welltrackone Corporation Multi-Specialty CurrentSince Mar 1, 2025 Accepting new patients
Je Harris Nursing Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients

Locations (25 of 42)

9360 Glacier Hwy
Ste 202
Juneau, AK 99801
Phone (703) 722-6955

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

3707 E Southern Ave
Fl 1
Mesa, AZ 85206
Phone (843) 341-9355

23440 Civic Center Way
Ste 100
Malibu, CA 90265
Phone (323) 229-2070

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

1600 Broadway
Ste 1600
Denver, CO 80202
Phone (970) 592-8970

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

16215 Biscayne Blvd
Ste 131
Aventura, FL 33160
Phone (415) 373-7118

601 N Congress Ave
Ste 409
Delray Beach, FL 33445

12555 Biscayne Blvd
North Miami, FL 33181
Phone (305) 379-4442

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

3372 Peachtree Rd NE
Ste 115
Atlanta, GA 30326
Phone (229) 514-9229

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

650 Poydras St
Ste 1400
New Orleans, LA 70130
Phone (855) 235-2872

35 Village Rd
Ste 100
Middleton, MA 01949
Phone (978) 222-3131

16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

Interoperability endpoints

  • Direct secure messaging: jezwahharris@nomibeachhealth.drchronodirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1609502657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 BISCAYNE BLVD",
            "address_2": "PMB 1037",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "33181",
            "telephone_number": "323-229-2070",
            "fax_number": "786-685-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 BISCAYNE BLVD STE 131",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331604300",
            "telephone_number": "786-744-5152",
            "fax_number": "833-973-5949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1831 E 71st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741363928",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S Reid St Ste 307",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571037045",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3523 45th St S Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581048962",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Dorrance St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029032014",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Campus View Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432354682",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72650 Fred Waring Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922605007",
            "country_code": "US",
            "telephone_number": "424-433-3351",
            "fax_number": "844-689-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Continental Dr Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134334",
            "country_code": "US",
            "telephone_number": "302-366-4886",
            "fax_number": "844-689-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "768 Putney Rd Ste U1-1054",
            "address_purpose": "LOCATION",
            "city": "Brattleboro",
            "state": "VT",
            "postal_code": "053019005",
            "country_code": "US",
            "telephone_number": "802-275-0888",
            "fax_number": "844-689-4504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 N 1200 W Ste 1008",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415716",
            "country_code": "US",
            "telephone_number": "385-342-4202",
            "fax_number": "844-689-4503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1846 1st St Ste 1029",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834014415",
            "country_code": "US",
            "telephone_number": "208-886-6586",
            "fax_number": "844-689-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 W 2nd St Ste 3592",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012412",
            "country_code": "US",
            "telephone_number": "520-244-1442",
            "fax_number": "844-689-4489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 W Sahara Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891024352",
            "country_code": "US",
            "telephone_number": "725-302-0103",
            "fax_number": "844-689-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 Winnowing Way Unit 102",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294667531",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23440 Civic Center Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Malibu",
            "state": "CA",
            "postal_code": "902654855",
            "country_code": "US",
            "telephone_number": "424-433-3351",
            "fax_number": "844-689-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 NW Leary Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981075138",
            "country_code": "US",
            "telephone_number": "425-740-7626",
            "fax_number": "844-689-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 G W Tatro Dr",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "VT",
            "postal_code": "054649919",
            "country_code": "US",
            "telephone_number": "802-275-0888",
            "fax_number": "844-689-4504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Broadway Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802024916",
            "country_code": "US",
            "telephone_number": "720-780-7977",
            "fax_number": "844-689-4491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 6th Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503094108",
            "country_code": "US",
            "telephone_number": "515-501-5355",
            "fax_number": "833-973-5949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N Alabama St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462042275",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Capital Blvd Fl 4",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060673914",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3372 Peachtree Rd NE Ste 115",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303261963",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3597 E Monarch Sky Ln Ste 240",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461055",
            "country_code": "US",
            "telephone_number": "208-886-6586",
            "fax_number": "844-689-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Chesterfield Business Pkwy Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630051271",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Poplar Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193974",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1627 Quarrier St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253112124",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 N University Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846015648",
            "country_code": "US",
            "telephone_number": "385-342-4202",
            "fax_number": "844-689-4503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11815 Fountain Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064448",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 G W Tatro Dr",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "VT",
            "postal_code": "054649919",
            "country_code": "US",
            "telephone_number": "802-275-0888",
            "fax_number": "844-689-4504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 N Water St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532025715",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 W Douglas Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672134704",
            "country_code": "US",
            "telephone_number": "785-727-7927",
            "fax_number": "844-689-4496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Village Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "MA",
            "postal_code": "019491238",
            "country_code": "US",
            "telephone_number": "339-933-7553",
            "fax_number": "844-689-4498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11295 Biscayne Blvd Unit Ph7",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331813481",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "fax_number": "786-685-2567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5401 Norris Canyon Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945835408",
            "country_code": "US",
            "telephone_number": "424-433-3351",
            "fax_number": "844-689-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 E Southern Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062569",
            "country_code": "US",
            "telephone_number": "520-244-1442",
            "fax_number": "844-689-4489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Mercantile Plaza Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761374206",
            "country_code": "US",
            "telephone_number": "361-792-3301",
            "fax_number": "844-689-4502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 W Mendenhall St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153566",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Farnam St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681021857",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Commerce Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013272",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hudson St Fl 21",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073023929",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Marquette Ave NW Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025312",
            "country_code": "US",
            "telephone_number": "505-630-2005",
            "fax_number": "844-689-4499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Tryon St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020213",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1312 17th St Ste 865",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802021508",
            "country_code": "US",
            "telephone_number": "720-780-7977",
            "fax_number": "844-689-4491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 W Ash St Ste 1011",
            "address_purpose": "LOCATION",
            "city": "Junction City",
            "state": "KS",
            "postal_code": "664413600",
            "country_code": "US",
            "telephone_number": "785-727-7927",
            "fax_number": "844-689-4496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 N 23rd St Ste 1028",
            "address_purpose": "LOCATION",
            "city": "McAllen",
            "state": "TX",
            "postal_code": "785016128",
            "country_code": "US",
            "telephone_number": "361-792-3301",
            "fax_number": "844-689-4502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Chestnut Hill Plz Ste 130",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132761",
            "country_code": "US",
            "telephone_number": "302-366-4886",
            "fax_number": "844-689-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6417 Penn Ave S Ste 7-397",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554231186",
            "country_code": "US",
            "telephone_number": "952-900-8661",
            "fax_number": "833-973-5949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 SE Alices Rd Ste 2031",
            "address_purpose": "LOCATION",
            "city": "Waukee",
            "state": "IA",
            "postal_code": "502639646",
            "country_code": "US",
            "telephone_number": "731-203-1502",
            "fax_number": "833-973-5949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Westbrook Corporate Ctr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601545709",
            "country_code": "US",
            "telephone_number": "872-282-9262",
            "fax_number": "844-689-4495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 E Douglas Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672023548",
            "country_code": "US",
            "telephone_number": "785-727-7927",
            "fax_number": "844-689-4496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S 4th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023046",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Poydras St Ste 1400",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701306116",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 State St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043305630",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16701 Melford Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154411",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N Gould St Ste 37558",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828016317",
            "country_code": "US",
            "telephone_number": "307-316-1115",
            "fax_number": "844-689-4506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Southbridge Pkwy Ste 650",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352091317",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9360 Glacier Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017012",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722013436",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Highland Colony Pkwy Ste 5203",
            "address_purpose": "LOCATION",
            "city": "Ridgeland",
            "state": "MS",
            "postal_code": "391572079",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2196 3rd Ave Ste 2029",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100350780",
            "country_code": "US",
            "telephone_number": "332-895-3777",
            "fax_number": "844-689-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "248 Providence Hwy Ste 3042",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "MA",
            "postal_code": "020901908",
            "country_code": "US",
            "telephone_number": "339-933-7553",
            "fax_number": "339-933-7553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1440 W Taylor St Ste 775",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606074623",
            "country_code": "US",
            "telephone_number": "872-282-9262",
            "fax_number": "844-689-4495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Lenora St Ste 6464",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981212411",
            "country_code": "US",
            "telephone_number": "425-740-7626",
            "fax_number": "844-689-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 W Goldfield Ave Ste 1046",
            "address_purpose": "LOCATION",
            "city": "Yerington",
            "state": "NV",
            "postal_code": "894473317",
            "country_code": "US",
            "telephone_number": "725-302-0103",
            "fax_number": "844-689-4488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 E Speedway Blvd Ste 1014",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101220",
            "country_code": "US",
            "telephone_number": "520-244-1442",
            "fax_number": "844-689-4489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 S La Brea Ave Suite 1027",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "90301",
            "country_code": "US",
            "telephone_number": "424-433-3351",
            "fax_number": "844-689-4490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Campus Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190733240",
            "country_code": "US",
            "telephone_number": "786-744-5152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEZWAH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "FNP-BC, MEP-C, NE-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-30",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "355285",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "314884",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95031847",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11035589",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "11035589",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "11035589",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "11035589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000260404",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA BLUE",
            "identifier": "ZJTEQ",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100598895",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127551600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219931",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6725466",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005379330001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08375519",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125974100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246725900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.